A Global Mapping of Pediatric Radiologists and Pediatric Radiology Training

Gloria Soto; Kara-Lee Pool; Cassandra Grageda; Amanda Dehaye; Hubert Ducou Le Pointe; Kath Halliday; Wendy Lam; Miguel A Lopez Pino; Hans-Joachim Mentzel; Gladys Mwango; Rutger Jan Nievelstein; Ines Boechat

Goals

This project aims to:

• Establish the number of Pediatric Radiologists (as regionally defined) per country/region around the world

​

• Outline the training pediatric radiologists receive and availability of training centers

​

• Highlight major disparities and gaps in the availability of pediatric radiologists and pediatric imaging training

​

• Based on this data create a road map for WFPI’s global efforts

Methods and Materials

A working group with representatives of the WFPI regional and national member societies was assembled to:

​

• Define the information to be gathered via a survey, including how pediatric radiologists are defined in different countries/regions

​

• Recruit contacts from different countries/regions responsible for responding to the survey (Appendix / slide 35)

​

• Collate and analyze the data

​

• Construct a Global map of Pediatric Radiologists and Pediatric Radiology training centers

Survey

1. How is a Pediatric Radiologist in “real practice” defined in your country/region?

• 1-2 year training at an accredited training center “fellowship”
• 4 or more months of optional training in pediatric imaging during the 4^th or 5th year of a General Radiology Residence Program
• Non standardized training, by apprenticeship, after a radiology residence has been completed
• Non standardized training, by apprenticeship, of a non radiologist physician
• Other (explain)

2. Number of pediatric radiologists in the country (as defined in question 1)

3. Modality of training that pediatric radiologists receive

4. Number of accredited pediatric radiology training centers offering at least a 1 year long training period

5. Radiological equipment available in Pediatric Radiology training centers (if applies)

Results

88 Countries responded the survey

• Africa: 34
• Asia – Oceania: 16
• Europe: 17
• Latin America: 19
• North America: 2

34 countries

• Angola
• Benin
• Botswana
• Burkina Faso
• Cape Verde
• Cameroon
• Chad
• Côte d’Ivoire
• Equatorial Guinea
• Ethiopia
• Ghana

• Guinea
• Guinea-Bissau
• Kenya
• Lesotho
• Liberia
• Malawi
• Mali
• Mauritania
• Mozambique
• Niger
• Nigeria

• Nigeria
• Rwanda
• Senegal
• Sierra Leone
• South Africa
• Swaziland
• The Gambia
• Togo
• Tunisia
• Uganda
• Zambia
• Zimbabwe

Africa

Africa

Availability of Pediatric Radiologists: 7/34 countries

• Ethiopia
• Kenya
• Malawi
• Nigeria
• South Africa
• Tunisia
• Uganda

NO

YES

Africa

Definition of “Pediatric Radiologist” according to practice

Africa

Pediatric Radiologists per country

Africa

Population < 19 years* / Pediatric Radiologist

*United Nations 2015

Africa

Partial availability

• Nuclear Medicine: 2/3

100% availability

• Digital Radiology
• Fluoroscopy
• Ultrasound
• CT
• MR

4 Pediatric Radiology training centers (1-2yr training) in 3 countries

No availability

• PET CT

Asia Oceania

16 countries

• Australia
• China
• Fiji
• Hong Kong
• India
• Israel
• Japan
• Jordan

• Korea
• Oman
• Pakistan
• Philippines
• Samoa
• Singapore
• Sri Lanka
• Tonga

​

Asia - Oceania

Availability of Pediatric Radiologists:13/16 countries

AUSTRALIA

CHINA

HONG KONG

INDIA

FIJI

SAMOA

TONGA

OMAN

PAKISTAN

PHILIPPINES

SINGAPORE

SRI LANKA

ISRAEL

JAPAN

JORDAN

KOREA

Definition of “Pediatric Radiologist” according to training

HONG KONG

JAPAN

PAKISTAN

Asia - Oceania

Asia - Oceania

Pediatric Radiologists per country

>2000

Asia - Oceania

Population < 19 years* / Pediatric Radiologist

*United Nations 2015

9,378,714

Asia - Oceania

100% availability

Digital Radiology

Fluoroscopy

Ultrasound

CT & MR

Partial availability

Nuclear Medicine

PET CT

32 Pediatric Radiology training centers (1-2yr training) in 9 countries

Europe

17 countries

• Albania
• Austria
• Bosnia Herzegovina
• France
• Germany
• Hungary
• Italy
• Netherlands
• Norway

​

• Romania
• Russia
• Serbia
• Slovenia
• Spain
• Switzerland
• Turkey
• United Kingdom

Europe

Definition of “Pediatric Radiologist” according to training

ALBANIA

AUSTRIA

BOSNIA-HERZ

ITALY

RUSSIA

SERBIA

SLOVENIA

​

​

​

GERMANY

NORWAY

NETHERLANDS

SWITZERLAND

Europe

Pediatric Radiologists per country

Population < 19 years* / Pediatric Radiologist

Europe

*United Nations 2015

Europe

100% availability

Digital Radiology

Fluoroscopy

US, CT & MR

Partial availability

Nuclear Medicine

PET CT

124 Pediatric Radiology training centers (1-2yr training) in 10 countries

Latin America

19 countries

• Argentina
• Bolivia
• Brazil
• Chile
• Colombia
• Costa Rica
• Cuba
• Dominican Republic
• Ecuador
• El Salvador

​

• Guatemala
• Haiti
• Honduras
• Mexico
• Nicaragua
• Panama
• Peru
• Uruguay
• Venezuela

Latin America

Definition of “Pediatric Radiologist” according to training

ALBANIA

AUSTRIA

BOSNIA-HERZ

ITALY

RUSSIA

SERBIA

SLOVENIA

​

​

​

GERMANY

NORWAY

NETHERLANDS

SWITZERLAND

DOMINCAN REPUBLIC

Latin America

Radiologists per country (17/18)

Latin America

Population < 19 years* / Pediatric Radiologist

*United Nations 2015

Latin America

100% availability

Digital Radiology

Fluoroscopy

Ultrasound & CT

Partial availability

MR

Nuclear Medicine

PET CT

9 Pediatric Radiology training centers (1-2yr training) in 5 countries

North America

2 countries *

• Canada
• United Sates of America

​

*Mexico included in Latin America

North America

• Availability of Pediatric Radiologists: 2/2

• In both countries a Pediatric Radiologist is defined as having completed a 1-2 year Fellowship training

Pediatric Radiologists per country

Population < 19 years* / Pediatric Radiologist

North America

100% availability

• Digital Radiology
• Fluoroscopy
• Ultrasound
• CT
• MR
• NM
• RIC/PACS
• Tele-Radiology

54 Pediatric Radiology training centers (1-2yr training) in 2 countries

Global map of availability of Pediatric Radiologists �Population <19 years per Pediatric Radiologist / country

Conclusion

Global map of availability of Training Centers (absolute numbers)

Conclusion

Conclusion

• Worldwide there is a broad definition of the title “Pediatric Radiologist” including different training pathways and length of sub-specialty training.
• There is wide variability of available pediatric radiologists throughout the world, within the different regions, and within countries in a same region. The local definition of a “Pediatric Radiologist” is a factor to be considered when analyzing and comparing country and regional data.
• There are major regional differences in the amount of training centers throughout the world. 

Conclusion

• The World Federation of Pediatric Radiology (WFPI) continues to play a large role in promoting better communication, collaboration, allocation of resources and education between regions. These are the core missions of WFPI.  
• The information obtained in this project will help focus the WFPI´s outreach programs according to the needs and availabilities of resources within each region /country.
• Future directions of the WFPI may include recommending training pathways for Pediatric Radiologists according to local conditions and thus contribute to enhance the availability and quality of pediatric imaging worldwide.

Appendix: Key contacts and collaborators

AFRICA

• Gladys Mwango
• Jaishree Naidoo
• Omolola Atalabi
• Suzgo Sam Mzumara
• Jean Jacques Nshizirungu
• Azza Hammou
• Kisembo Harriet Nalongo
• Yocabel Gorfu

​

EUROPE

• Fermin Saez
• Miguel Angel Lopez Pino
• HubertDucou le Pointe
• Hans-Joachim Mentzel
• Kath Halliday
• Aleksandra Korostyshevskaya
• Erich Sorantin
• Sorin Dudea
• Damjana Ključevšek
• Rainer Wolf
• Éva Kis
• Goran Djuricic
• Paolo Toma
• Claudio Granata
• Mithat Haliloglu
• Irmina Sefic Pasic
• Sonja (Saraci) Butorac
• Rutger Jan Nievelstein
• Lil Sofie Ording Müller
• Charlotte de Lange

LATIN AMERICA

• Mario Pelizzari
• Lucrecia Postigo
• Alexandra Monteiro
• Gloria Soto
• Federico Lubinnus
• Luis Lobos
• Miguel Ángel Allende
• Víctor Izaguirre
• Eysa Carrasco
• María Isabel Barrantesmonges
• Eric Chong
• Patricia Compten
• Luis Campos
• Anabel Lizardi
• José Briceño
• Ernst Garcon
• Fabián Gonzales
• Beatriz González
• Marta Eugenia Soissa

NORTH AMERICA

• Inês Boechat
• Donald Frush
• Paul Babyn
• Oscar Navarro
• Karen Thomas

ASIA-OCEANIA

• Wendy Lam
• David Stringer
• Marielle Fortier
• Timothy Cain
• Maggie Zhong
• Kushaljit Sodhi
• Shunsuke Nosaka
• In-One Kim
• Zeid Alaween
• Bernard Laya
• Kishani Pathirana
• Qbal Dogar
• Michalle Soudack
• Komal Kritika Singh
• Ana Akuola
• Dilip Sankhla
• Saud Al-Shabibi
• Glenn Fatupaito